Cumberland Family Medical Center Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

700172 Issued in KY

Legal business name

CUMBERLAND FAMILY MEDICAL CENTER INC

Doing business as

Women's Care of the Bluegrass

Practice address

360 Amsden Ave
Versailles, KY 40383-1851

Phone

(502) 227-2229

Fax

(502) 227-1114

NPI assigned

Jul 16, 2014

Last updated

Aug 25, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eric E Loy, MDNPI 1548297393

Title

Ceo

Phone

(270) 858-6655

Specialties & licenses 1

Addresses

Other names 1

• WOMEN'S CARE OF THE BLUEGRASS Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487061982. Details of each certification follow.

• CCN 181009 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 181009

Legal name

WOMEN'S CARE BLUEGRASS/FAMILY CARE BLUEGRAS

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Feb 3, 2017

Last certification

Mar 3, 2017

Ownership / control type

For profit – corporation

Facility address

360 Amsden Ave
Versailles, KY 40383

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric E Loy, MD

  • Family Medicine Physician
  • Burkesville, KY
  • NPI 1548297393
  Authorized official Same address or phone
• Elizabeth Hurt, LMFT

  • Marriage & Family Therapist
  • Burkesville, KY
  • NPI 1992842967
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1487061982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "270-864-1472",
            "fax_number": "270-864-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 AMSDEN AVE",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831851",
            "telephone_number": "502-227-2229",
            "fax_number": "502-227-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND FAMILY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "LOY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-858-6655",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "KY",
            "license": "700172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOMEN'S CARE OF THE BLUEGRASS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WOMEN'S CARE OF THE BLUEGRASS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tamela Bright Craig, SLP
• Bethany Criscillis, APRN-FNP
• Cumberland Family Medical Center Inc (Southside Elementary Healthy Kids Clinic)
• Cumberland Family Medical Center Inc (Huntertown Elementary Healthy Kids Clinic)
• Cumberland Family Medical Center Inc (Simmons Elementary Healthy Kids Clinic)
• Cumberland Family Medical Center Inc (Woodford County Middle Healthy Kids Clinic)
• Cumberland Family Medical Center Inc (Safe Harbor Academy Healthy Kids Clinic)
• Cumberland Family Medical Center Inc (Woodford County High Healthy Kids Clinic)
• Cumberland Family Medical Center Inc (Womens Care of the Bluegrass/Family Care of the Bluegrass)
• Alexis Nicole Dale, PHARMD, RPH

• Federally Qualified Health Center (FQHC) in Versailles, KY
• Providers in Versailles, KY by specialty
• Federally Qualified Health Center (FQHC) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.